Rev. 1/9/2020 1 EHHLD
Unusual Enrollment History Appeal – 2020-2021
A. STUDENT INFORMATION
Name: ACC Student ID:
B. APPEAL OVERVIEW AND INSTRUCTIONS
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) has been flagged forUnusual Enrollment History Review” by the U.S. Department
of Education because you received Federal Pell Grant or Direct Loan funds at multiple education institutions during the review period 2016-17,
2017‐18, 2018‐19 and 2019-20. This flag requires Arapahoe Community College to review your enrollment history and determine whether or not
you are enrolling only long enough to receive cash refunds of federal student aid. In the process of reviewing your enrollment history, ACC will
check the National Student Loan Data System (NSLDS) to obtain a complete history including the name of the institutions you have attended and
the dates of attendance. If you have questions, contact us promptly so your financial aid will not be delayed. Your application for financial aid will
not be considered until you submit this completed form and all required documentation to our office.
Schools Attended
1. List all colleges attended during the time frame listed below. If you attended multiple schools during the indicated time frame,
attach an additional page listing all schools you attended.
2. Provide an official academic transcript for each of the prior schools listed. (This must be sent in a sealed envelope directly from the
college you attended to the Financial Aid Office at ACC or you must bring in the sealed envelope once the school sends it to you.)
3. You must attach a written explanation for each school explaining your Unusual Enrollment History.
Dates Attended
Name of College
Did you earn credits?
2016‐2017
2017‐2018
2018‐2019
2019‐2020
Explanation of Extenuating Circumstances
You must offer reasons to explain your Unusual Enrollment History. You must attach third party documentation (see acceptable categories
found below) to corroborate your claim or you will be denied Financial Aid. Please select one of the boxes below and provide the required
documentation:
Medical documentation of sickness or hospitalization of self, child or parent. We encourage you to set up an
appointment with Student Life. They will review your medical documentation and issue a Medical or Disability
Verification Form. Include this verification form with your Unusual Enrollment Appeal as supporting documentation.
Military withdrawal (include documentation from commanding officer)
Victim of a crime or unexpected disaster (include a copy of police report, third party letters, etc.)
Other circumstances not addressed in the above categories. Submit a written statement that explains your situation
including supporting documentation.
By signing this document, I certify that the information is complete, true and accurate. I understand that purposely providing false or
misleading information could result in criminal prosecution, prison sentence, and/or a fine pursuant to U.S. Criminal Code and Colorado
Criminal Code.
Student
Signature Date
Arapahoe Community College Office of Financial Aid 5900 S. Santa Fe Drive Littleton, CO 80120
Phone: 303.797.5661 • Fax: 303.797.5663 • Email: financialaid@arapahoe.edu
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